. 2017 Nov 21;8(4):349–362. doi: 10.1177/2150131917742299

Table 4.

Facilitators of and Barriers to the Uptake of Human Papillomavirus Vaccination.

Facilitators	Barriers
• Physician recommendation^{26,29,30,32-35,37,42-44,48,50,51} • Parental acceptance^36,46 • Peer encouragement^21,36 • Health insurance coverage^31,46	• Cost of vaccine^{25,28,32,51-53}
	• Parental concern: - Child not sexually active ^32,36,51,53 - Concern about the safety of the vaccine^{27,36,37,48,51,54} - Think that vaccination will encourage sexual activity^36,37,48
	• Lack of information^{31,32,36,38,40,47,53,54}
	• Prefer to wait till their children are older³⁷